产褥期抑郁症测评和社会学影响因素分析

Postpartum depression and associated sociodemographic factors

目的对产褥期妇女忧郁状态进行测评,并探讨影响产褥期妇女抑郁症的社会学因素。方法采用随机分层抽样方法选择513名住院分娩产妇为调查对象,在产妇分娩6周内对调查对象采取面对面访谈形式获取现状资料,用抑郁状态自评量表测评产褥期妇女的抑郁状态,对影响产褥期妇女忧郁症的有关因素进行非条件logistic回归分析,计算OR值。结果居住农村的产妇发生抑郁症的概率较大;30岁～年龄组产妇的抑郁症发生率较高;家庭年均收入、个人收入水平越高,产妇发生抑郁症的概率越低。结论4个因素能影响产褥期妇女抑郁症发生的概率,其中居住农村、产妇高龄是危险因素,家庭高收入、产妇个人高收入是保护因素。

Objective To characterize postpartum depression of Chinese puerperal woman and to identify factors associated with the risk of postpartum depression. Methods Five - hundred and thirteen postpartum women were randomly selected from five hospitals in Weifang City, Shandong Province. Women were interviewed within 6 weeks after delivery. Self-rating depression scale （SDS） was used to assess depression. Unconditional logistic regression model was used to evaluate factors associated with the risk of postpartum depression. Results Women living in rural area and advanced maternal age （30 years or older） had elevated while women with higher family overall income or individual income had lower risk of developing postpartum depression. Conclusion Residing in rural area and advanced maternal age are risk factors and higher family or individual income are protective factors for postpartum depression in Chinese women.